Running head: SAVE YOUR CERVIX 1 Save Your Cervix Thuy D. Le Western University of Health Sciences Instructional Media Health Education Trelisa Glazatov March 09, 2011 SAVE YOUR CERVIX 2 Dynamic Instructional Design Lesson Summary: Step 1 – Know the Learner The learners are Vietnamese women living in Orange County, California between the ages of 35-60 years old. All of the women are in female only organizations from Catholic churches and temples. Some of these women show a preference for visual and discussion learning style. Most of the ladies’ educational levels are categorized as little or none at all. They show little knowledge of multimedia and web-based products. Basic understanding of females’ body parts is required. Step 2- Articulate Objectives Upon completion of the course, the Vietnamese women will be able to: define cervical cancer and the causes with 90% accuracy. define the signs and symptoms of cervical cancer with 95% accuracy. discuss the Pap smear procedure for screening cervical cancer with 90% accuracy. By the end of completing the program, 80% of Vietnamese women will schedule appointment for a pap test. Step 3- Establish the Learning Environment The course will be conducted in conference rooms or places of the organizations’ choosing for monthly meetings. There will be tables and chairs arranged in semicircle or U-shaped arrangement so that participants can easily see slides and join in the discussion. A designated area will be used for: a) refreshments, b) pamphlets, and c) contacts listing of local areas of services. Learners will use the pamphlets and additional information given to them to visualize the discussion of the topics. The ladies are grouped to share their understanding of cervical cancer and risk factors with other women in the organization. Step 4- Identify Teaching and Learning Strategies Pre-organizer: Hand out questionnaires and pamphlets about cervical cancer. Bridge to prior knowledge: Review questionnaires and cervical cancer pamphlets. SAVE YOUR CERVIX 3 Introduce new knowledge: Information will be delivered by a) interactive lecture, b) discussion, and c) slide pictures of the cervix. Reinforce knowledge: Group discussion after each section to clarify any questions and answers. Provide a listing of doctors that provide cervical screenings at no or little cost. Provide practice: Identify their primary doctor or locate a doctor to schedule screening for cervical cancer. Culminating: The use of handouts and contact information will be used to follow up with the learners. Making post follow up calls to all the ladies reminding them of the importance and benefits of early detection with cervical cancer screening. Asking the women if they have any problem scheduling an appointment or if they already have scheduled one. Step 5- Identify and Select Support Technologies Computer PowerPoint for presentation Step 6- Evaluate and Revise the Design The evaluation of the learners will be based on the pre/post-test quizzes given to each person at the beginning of the course. The post-test is the same test as the pre-test, however the learner is not informed beforehand. This will allow examining the learner’s knowledge from the beginning to the end of the course. Additional questionnaires will be given to each learner regarding what they a) like, b) did not like, and c) would change from the course. Summary The Vietnamese women will learn about cervical cancer based on the course that is taught to them by health educators. They will use the knowledge and understanding to decide which screening method they prefer to use for prevention. Once they decide on which method to use, they will schedule an appointment with the doctor to get tested. The pre/post-test questionnaires are used for assessments of the content and understanding of the learners. SAVE YOUR CERVIX 4 T. Le 1 Lesson Planning Unit 1 Save Your Cervix Lesson Plan Assignment Activity Title Save Your Cervix Curriculum Area Grade Range Suggested Instructional Media, Health Education Grade School Learners Purpose This lesson is developed for grade school level Vietnamese women living in Orange County, California. The purpose of the lesson is to educate Vietnamese women about cervical cancer and different methods of screening. Environment The lesson is developed for classroom setting for interaction lecture and discussions. The learners will work together to learn about cervical cancer and screening methods. Students may use any resources to received second opinions or further education on determining best methods of screening. Description of Lesson The teaching materials are divided into two units-one unit for each content area. Each unit has a) learning objectives, b) a list of key topics to be covered, c) instruction for the trainer, and d) detailed content outline with suggested training exercises. The PowerPoint slides will convey information about cervical cancer and Pap smear test. The student will participate in the discussion and use the handouts for additional references. This course is designed to be completed over a two week span. The unit will divided two lessons. Lesson 1: What is cervical cancer? Lesson 2: What is Pap smear test? Through the use of templates create: DID model for topics Lesson plan SAVE YOUR CERVIX Pamphlet Handouts A variety of teaching techniques and training exercises are used, including: • • Interactive lecture/discussion Slides/pictures of the cervix A variety of audiovisual materials are used, including: • • 1. 2. 3. 4. 5. PowerPoint slides or slides for use with a slide project/print copies of slides. Handout: Pamphlet Steps for Pap smear FAQ’s References Evaluations Questionnaire Objectives For this unit, student will learn the procedure of Pap smear test and about cervical cancer. At the end of this course the students will be able to: define cervical cancer and the causes with 90% accuracy. define the signs and symptoms of cervical cancer with 95% accuracy. discuss the Pap smear procedure for screening cervical cancer with 90% accuracy. By the end of completing the program, 80% of Vietnamese women will schedule appointment for a pap test. Standards The unit of instruction will meet the following course objective set by the Health Sciences department at Western University of Health Sciences. This lesson plan was developed for the use in catholic churches and temples, but may be adapted for use elsewhere. Any part of this lesson plan may be reproduced or adapted to meet local needs. 5 SAVE YOUR CERVIX Preparation Develop PowerPoint presentations about cervical cancer. Develop pre/post test questionnaires for evaluation. Develop hand-outs: 1. steps to pap smear 2. FAQ 3. cervical cancer pamphlet 4. additional information listings. Procedure Review DID model and lesson plan templates. Review and upload DID model and examples of each step on PowerPoint presentation. Review and upload lesson plan templates on blackboard. Review and upload visual design principles presentation. Review and upload the SMOG/FOG presentation. Review and upload the Camtasia Relay presentation. Technology Tools and Resources Websites: National Cancer Institute: Statistic and additional information regarding cervical cancer http://www.cancer.gov/ American Cancer Society: additional resources for learners and instructor http://www.cancer.org/ Hardware: Computer with internet connectivity: - Instructor will be using computer and internet to develop: a) handouts, b) pamphlets, and PowerPoint presentation. - Learners may use the computer for further information and directory of local physicians or services for screening. 6 SAVE YOUR CERVIX Software: MS Word - To create handouts and pamphlets. - Instructional materials MS PowerPoint - Instructor will use this software to create the presentation for this course. Technology Competencies (Instructor) Technology skills need include: 1. Basic computer skills (including opening/savings files) 2. Basic knowledge of MS Word/PowerPoint (Student) Technology skills need include: (optional not required) 1. Basic computer skills Assessment Learner achievement will be based on: Pre/posttest questionnaire Number of learners has screen for cervical cancer Number of learners schedule for cervical cancer screening The learner will be asked to fill out a questionnaire form as to what they like and did not like about the course. 7 SAVE YOUR CERVIX 8 Save Cervix Questionnaire 1. Where is the cervix located? 2. Have you heard of cervical cancer? 3. What is cervical cancer? 4. What causes cervical cancer? 5. How do you prevent cervical cancer? 6. What are the signs and symptoms of cervical cancer? 7. How do you test for cervical cancer? 8. What is a Pap Smear test? 9. Do you think all female should have a Pap smear test annually? 10. What procedure is done during Pap smear test? SAVE YOUR CERVIX 9 Here are some frequently asked questions related to cervical cancer. Q: What causes cervical cancer? A: We don't always know what causes cervical cancer, just like we don't know what causes most cancers. Not uncommonly however, this disease occurs when a virus or other factor causes cells within the cervix to become abnormal, then cancerous. Cervical cancer becomes invasive when malignant cells spread to nearby tissues, organs, or other parts of the body. Q: Why do some women develop cervical cancer? A: The primary risk factors associated with cervical cancer are age, a woman's sexual habits, and infection with a high-risk strain of human papillomavirus (HPV). Lifestyle, race, and other factors probably affect a woman's chances of developing cervical cancer. Q: Can cervical cancer be prevented? A: Routine Pap tests can detect almost all instances of early cervical cancer and precancerous (tending to become cancerous) changes in cervical cells. Prompt treatment of these abnormalities can prevent cervical cancer. Q: How is cervical cancer diagnosed? A: Routine screening for cervical abnormalities can detect early-stage cancer and precancerous conditions (that are not yet malignant). Q: Why are regular Pap tests so important? A: Cervical cancer grows slowly, and regular Pap tests can detect the disease in its earliest, most curable stages. Q: Who should be screened for cervical cancer? A: Every woman who has reached the age of 18 or who is or has been sexually active should have regular Pap tests. Q: Is cervical cancer curable? A: If caught in the early stages, cervical cancer is almost 100% curable. The chances of detecting cervical cancer at an early stage are greatly increased by having regular Pap smears. Pap smears are probably the most successful of all screening procedures ever devised to detect early cancer. Q: How is cervical cancer treated? A: The standard treatments for cervical cancer are surgery, radiation, and chemotherapy. SAVE YOUR CERVIX 10 Q: What is the emotional impact of cervical cancer? A: Because cervical cancer treatment often leaves a woman infertile, this disease can be especially devastating for women of childbearing age. Friends, family members, and professional caregivers can provide valuable emotional support. SAVE YOUR CERVIX 11 Non-Profit Organizations American Social Health Association (ASHA) Information about HPV and cervical cancer prevention www.ashastd.org American Society for Colposcopy and Cervical Pathology (ASCCP) Information of the study, prevention, diagnosis, and management of lower genital tract disorders. www.asccp.org Association of Reproductive Health Professionals (ARHP) Information about HPV and cervical cancer prevention www.arhp.org and www.arhp.org/PapResults National Women’s Health Resource Center “Health Center” on cervical cancer www.healthywomen.org Planned Parenthood Information on cervical cancer prevention www.plannedparenthood.org Government Agency National Cancer Institute Cervical cancer screening information www.nci.nih.gov/cancertopics/pdq/screening/cervical/patient